About the position
Introduction
The position of Senior Manager: Internal Audit Clinical and Data Analytics is vacant. The Senior Manager: Internal Audit Clinical and Data Analytics role will report directly to the Chief Audit Executive and form part of the Internal Audit Division. The position is permanent and will be based at GEMS's Head Office.
The total remuneration package for this position is between R1 613 106 and R 2 016 382 per annum, based on skills and experience negotiable based on qualifications and experience.
The closing date for applications will be Wednesday, 30 April 2025.
Duties & Responsibilities
The Senior Manager: Internal Audit Clinical and Data Analytics will be required to provide support to the Chief Audit Executive through the implementation of the following Key Performance Areas (KPAs):
- Contribute to the development and management of the Audit Universe with a focus on clinical and technical areas (managed care, disease management, claims administration, tariff codes) and regulatory requirements.
- Lead the clinical and data analytics audit team in executing audits and developing CAATS test cases to enhance efficiency and accuracy.
- Contribute to the development of risk-based internal audit plans focusing on clinical and technical areas (managed care, disease management, claims administration, tariff codes) and regulatory requirements.
- Manage stakeholder relationships both internally (GEMS management) and externally (service providers).
- Drive the development and implementation of a comprehensive Data Analytics Strategy for the Internal Audit department.
- Ensure integration of data analytics into the audit lifecycle, moving from traditional methods to proactive, risk-based approaches.
- Contribute to the aligned assurance efforts through coordination with other assurance providers.
- Manage audit resources, budgets, and timelines for allocated portfolios.
- Provide technical expertise and quality oversight on internal audit projects involving clinical data.
- Present findings and reports to the Audit Committee and other forums as and when required.
- Manage and develop staff through training, mentoring, and performance management.
- Contribute to risk management within allocated areas of responsibility while ensuring compliance with Internal Audit standards and methodologies.
Desired Experience & Qualification
Qualification Requirements:
- A Bachelor's degree in Internal Auditing, BCom, BCompt, Degree in Medical / Clinical Sciences or other relevant degree.
- Certified Internal Auditor (CIA) or CA (SA) or a registered HealthCare Professional, or Masters.
- Minimum of 7 years of work experience in the medical scheme industry, particularly in Internal Auditing, with at least 4 years at a managerial level.
- Experience in delivery and management of outsourced service providers will be advantageous.
- Proven proficiency in understanding and application of standards for the professional practice of internal auditing.
- In-depth proficiency in MS Office and Data Analytics tools.
- Ability to lead audit teams and work independently, organise tasks efficiently and perform the audit function accurately.
- Strong verbal and written communication skills.
- Solid experience in managing and leading audit teams and, managing audit projects, managing personnel and overseeing the development of audit work programs.
- Knowledge of external leading risk and controls frameworks such COSO and ISO 31000.
- Strong understanding of clinical data management and audit processes.
Behavioural Competencies:
- Excellent analytical and problem-solving skills.
- Proficiency in data analysis tools and audit software.
- Strong written and verbal communication skills.
- Ability to work independently and lead a team.
- Attention to detail and strong organisational skills.
Prerequisite:
- Have an understanding of the medical schemes industry.
- Have an understanding of the use of data analytics tools to identify risks, anomalies, and trends across large datasets, enabling comprehensive risk assessments and predictive modelling.
Interested?
The closing date for applications is Wednesday, 30 April 2025.
GEMS employs people with the highest level of integrity - submission to the appropriate pre-employment assessment is obligatory to be considered for the position.
Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.
Kindly note that information is required for Employment Equity Purposes and information gathered is strictly used according to the intended purpose of collection, unless there is a legal need or permission is granted from the applicant themselves to make use of it for other purpose
Should you wish to have your information removed from the GEMS database, kindly send a request in writing to [Email Address Removed] .
GEMS adopts a hybrid work model.
GEMS is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with GEMS employment equity plan.
Successful candidates will be required to seek approval to conduct other work outside of GEMS.
GEMS Employees are required to conduct themselves in a manner that reflects the organisation's paramount values: Excellence, Member Value, Integrity, Innovation, and Collaboration.
